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#PBT-2496-090282
Supplemental Questionnaire

Last Name
First Name

 

2496 Imaging Supervisor - Women’s Imaging Supervisor (PBT-2496-090282)  

SUPPLEMENTAL QUESTIONNAIRE EXAMINATION

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

YOUR SCORES FROM THIS SUPPLEMENTAL QUESTIONNAIRE EXAMINATION WILL BE DERIVED
FROM THE QUALITY OF YOUR RESPONSES 

The purpose of the Supplemental Questionnaire is to determine if you meet the Minimum Qualifications for the 2496 Imaging Supervisor, Women’s Imaging Supervisor position as well as to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance in this position. Please refer to the examination announcement for a more detailed description of these knowledge, skills, and abilities.

Responses to items on the Supplemental Questionnaire must be supported by the information provided on the application. This information is subject to verification. Please be sure to include all relevant education, professional licenses, certifications or registrations and work experience in the respective Education, Professional Licenses/Certifications/Registrations, and Employment Record section of the application.

Resumes are NOT used or reviewed to determine whether you meet the minimum qualifications or to determine your score/rank. A resume should not be submitted to substitute for a completed application. If you write “See Resume” on the application or on the Supplemental Questionnaire, your application may be rejected. Verification of required education, experience, and valid licensure certifications/registrations may be collected at any time.

Questions #1 through #5 will be used to assess possession of the required education, experience, and valid licensure/certification/registration for the Women’s Imaging Supervisor position. Questions #6 through #8 will be assessed and scored by an expert review panel. Your application or additional attached documents (e.g. resumes, cover letters, letters of reference/recommendation, etc.) will NOT be considered during the scoring process.

The Supplemental Questionnaire will account for 100% of the total weight of the applicant’s final score. Successful applicants will be placed on the eligible list/score report, in rank order, according to their final score. Insufficient or non-responsive answers to the Supplemental Questionnaire may result in ineligibility, disqualification, or lower scores.

It is suggested that you:

  • Allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline.
  • Review the questions first, prepare and save your responses in a word processing document, and then paste them into the online Supplemental Questionnaire.
  • Be concise but thorough. Ensure that you address all parts of the question. Your written communication skills will be evaluated based on your responses.
  • Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities.
  • Provide your best or highest examples of work.
  • Answer all questions independently (e.g. do not reference your responses in prior questions). Provide all information requested even if they appear redundant. Do not write "see application" or "see resume" as a response.

If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.


1A.

Select the statement that best matches the highest level of education you have completed.

As a reminder, all education must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the education you are about to describe in the “Higher Education” section of your application, you will not receive credit for this education. If you are copying an old application, please take the time to update your Education section before submitting your application. (DO NOT COUNT UNITS THAT ARE IN PROGRESS)

High school diploma or equivalent
At least one (1) year (equivalent to 30 semester or 45 quarter units), but less than two (2) years (equivalent to 60 semester or 90 quarter units) of college/university education completed
Possession of an Associate's Degree from an accredited college or university (equivalent to 60 semester units or 90 quarter units)
At least three (3) years (equivalent to 90 semester or 135 quarter units), but less than four (4) years (equivalent to 120 semester units or 180 quarter units) of college/university education completed
Possession of a Bachelor's Degree from an accredited college/university
Possession of a Master's Degree or higher from an accredited college/university
None of the above
2A.

How much full-time experience do you have performing diagnostic imaging procedures in a hospital? (One year of full-time experience is equivalent to 2,000 hours.)

As a reminder, all jobs must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the job(s) you are about to describe in the "Employment Record" section of your application, you will not receive credit for the job(s). If you are copying an old application, please take the time to update your jobs before submitting your application.

No experience
At least one (1) year (equivalent to 2,000 hours), but less than two (2) years (equivalent to 4,000 hours)
At least two (2) years (equivalent to 4,000 hours), but less than three (3) years (equivalent to 6,000 hours)
At least three (3) years (equivalent to 6,000 hours), but less than four (4) years (equivalent to 8,000 hours)
At least four (4) years (equivalent to 8,000 hours), but less than five (5) years (equivalent to 10,000 hours)
At least five (5) years (equivalent to 10,000 hours), but less than six (6) years (equivalent to 12,000 hours)
At least six (6) years (equivalent to 12,000 hours), but less than seven (7) years (equivalent to 14,000 hours)
At least seven (7) years (equivalent to 14,000 hours), but less than eight (8) years (equivalent to 16,000 hours)
Eight (8) years (equivalent to 16,000 hours) or more
2B.

How much full-time experience do you have as a LEAD technologist performing diagnostic imaging procedures in a hospital? (One year of full-time experience is equivalent to 2,000 hours.)

As a reminder, all jobs must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the job(s) you are about to describe in the "Employment Record" section of your application, you will not receive credit for the job(s). If you are copying an old application, please take the time to update your jobs before submitting your application.

No experience
At least one (1) year (equivalent to 2,000 hours), but less than two (2) years (equivalent to 4,000 hours)
At least two (2) years (equivalent to 4,000 hours), but less than three (3) years (equivalent to 6,000 hours)
At least three (3) years (equivalent to 6,000 hours), but less than four (4) years (equivalent to 8,000 hours)
At least four (4) years (equivalent to 8,000 hours), but less than five (5) years (equivalent to 10,000 hours)
At least five (5) (equivalent to 10,000 hours) years, but less than six (6) years (equivalent to 12,000 hours)
At least six (6) years (equivalent to 12,000 hours), but less than seven (7) years (equivalent to 14,000 hours)
At least seven (7) years (equivalent to 14,000 hours), but less than eight (8) years (equivalent to 16,000 hours)
Eight (8) years (equivalent to 16,000 hours) or more
2C.

How much professional full-time work experience do you have performing Imaging Technologist duties? (One year of full-time experience is equivalent to 2,000 hours.)

As a reminder, all jobs must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the job(s) you are about to describe in the "Employment Record" section of your application, you will not receive credit for the job(s). If you are copying an old application, please take the time to update your jobs before submitting your application.

No experience
At least one (1) year (equivalent to 2,000 hours), but less than two (2) years (equivalent to 4,000 hours)
At least two (2) years (equivalent to 4,000 hours), but less than three (3) years (equivalent to 6,000 hours)
At least three (3) years (equivalent to 6,000 hours), but less than four (4) years (equivalent to 8,000 hours)
At least four (4) years (equivalent to 8,000 hours), but less than five (5) years (equivalent to 10,000 hours)
At least five (5) years (equivalent to 10,000 hours), but less than six (6) years (equivalent to 12,000 hours)
At least six (6) years (equivalent to 12,000 hours), but less than seven (7) years (equivalent to 14,000 hours)
At least seven (7) years (equivalent to 14,000 hours), but less than eight (8) years (equivalent to 16,000 hours)
Eight (8) years (equivalent to 16,000 hours) of experience or more
3.

Do you possess a valid license issued by the state of California as a Certified Radiologic Technologist?

As a reminder, all licenses must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the licenses you are about to describe in the "Professional Licenses, Certifications or Registrations" section of your application, you will not receive credit for the licenses. If you are copying an old application, please take the time to update your licenses before submitting your application.

Yes No
4.

Do you possess current registration with the American Registry of Radiologic Technologist (ARRT)?

As a reminder, all licenses must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the licenses you are about to describe in the "Professional Licenses, Certifications or Registrations" section of your application, you will not receive credit for the licenses. If you are copying an old application, please take the time to update your licenses before submitting your application.

Yes No
5.

Do you possess a valid Cardiopulmonary Resuscitation (CPR) Certificate issued by the American Heart Association?

As a reminder, all certificates must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the certificate(s) you are about to describe in the "Professional Licenses, Certifications or Registrations" section of your application, you will not receive credit for the certificate(s). If you are copying an old application, please take the time to update your certificates before submitting your application.

Yes No

 

The remaining questions constitute the Supplemental Questionnaire Exam and will be scored by an expert panel. Please follow above instructions when completing this section.


6A.

Please describe an instance when you increased safety by developing and implementing policies or procedures in accordance with the prescribed safety standard at work. Include the situation, relevant factors, individuals involved, how you handled the situation, and the outcome.

6B.

Please provide the name of the employer(s) and the dates of employment (e.g. MM/YYYY – MM/YYYY) where you obtained your verifiable work experience as indicated in Question #6A.

In addition, please list the name of (a) supervisor(s) or manager(s) who can verify the information provided as well as his or her contact information. If you selected that you do not have experience, please type "N/A" in the box below.

Do not type “See Resume.”

7A.

Based on your previous work experience, please describe an instance when you handled a particularly challenging situation while performing a diagnostic exam. Include the situation, relevant factors, individuals involved, how you handled the situation, and the outcome.

7B.

Please provide the name of the employer(s) and the dates of employment (e.g. MM/YYYY – MM/YYYY) where you obtained your verifiable work experience as indicated in Question #7A.

In addition, please list the name of (a) supervisor(s) or manager(s) who can verify the information provided as well as his or her contact information. If you selected that you do not have experience, please type "N/A" in the box below.

Do not type “See Resume.”

8A.

Please describe an instance when you were required to provide instruction and training to your staff about a new procedure, methodology and/or operating new equipment. Include the type of instruction/training that you provided, relevant factors, staff involved, how you provided the instruction/training, and the outcome.

8B.

Please provide the name of the employer(s) and the dates of employment (e.g. MM/YYYY – MM/YYYY) where you obtained your verifiable work experience as indicated in Question #8A.

In addition, please list the name of (a) supervisor(s) or manager(s) who can verify the information provided as well as his or her contact information. If you selected that you do not have experience, please type "N/A" in the box below.

Do not type “See Resume.”

 

CERTIFICATION: I hereby certify that all information is true and based on my education, training, skills, and experience. I understand that any false or incorrect statement may result in my disqualification of the selection process for this position and/or dismissal from employment with the City and County of San Francisco. I also understand and agree that any information provided is subject to verification.